探討影響急診護理人員對婚姻暴力創傷照護知識、態度和行為意向因素

An Investigation of the Effects of ED Nurses’ Knowledge, Attitudes and Behaviors on Victims of Domestic Violence

本研究目的在探討急診護理人員對婚姻暴力創傷照護知識、態度及行為意向影響因素。採橫斷式研究設計，以中部某醫學中心急診護理人員為研究對象共92位，以自擬式結構問卷進行資料收集，得有效問卷71份。結果發現照護知識平均答對率為66.9%、照護態度平均得分為135.77（總分175分）、照證行為意向平均得分為66.83（總分80分）。影響因素中無宗教信仰者的照護知識答對率顯著較高；年齡越大、有照護經驗及大學教育程度對婚姻暴力照護態度顯著較正向；已婚及有子女者對婚姻暴力照護行為意向顯著較正向；態度越正向其照護行為意向也就顯著越正向。藉此研究結果作為護理部安排急診護理人員在職教育參考，藉由教育改善急診護理人員照護婚姻暴力個案知識和培養正向態度及協助的意願，以提升婚姻暴力創傷者個案得到更完整及持續性照護。

This study aimed to investigate the effects of emergency department nurses' knowledge on domestic violence and their attitudes and behaviors toward caring for the victims of domestic violence. The study surveyed 92 nursing professionals who were working at a medical center in central Taiwan, in a cross-sectional way. Seventy one valid questions in a questionnaire were self-designed and developed by the surveyed group. The survey data showed that the average percentage of the nursing professionals possessing domestic violence- related knowledge was 66.9%, the average scores in the attitudes and the behaviors were 35.77 (out of the total 175) and 66.83 (out of the total 80) respectively. Based on the survey data, the score on knowledge was higher in the group without religious belief. The attitudes were more positive in those older surveyed nurses with many experiences and well educated. Those who were married or had children were more positive. The behaviors were closely proportional to the attitudes. These discoveries suggested develop nursing continual education programs on caring for the victims of domestic violence, for the purpose of improving nurses' knowledge, attitudes and behaviors towards the victims of domestic violence, and integrating the continuity of nursing care for the victims.